| Jae Won Lim Layug, | |
|
405 Lionel Way, Davenport, FL 33837-7811 | |
| (863) 353-1390 | |
| (863) 438-4880 |
| Full Name | Jae Won Lim Layug |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 405 Lionel Way, Davenport, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104516491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 11026214 (Florida) | Primary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | 11026214 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baycare Home Care Inc | Lakeland, FL | Home health agency |
| Winter Haven Hospital | Winter haven, FL | Hospital |
| Bartow Regional Medical Center | Bartow, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nautilus Health Care Group Llc | 5991604852 | 50 |
| Entity Name | Nautilus Health Care Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912013558 PECOS PAC ID: 5991604852 Enrollment ID: O20040108000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Won Lim Layug, 405 Lionel Way, Davenport, FL 33837-7811 Ph: (863) 353-1390 | Jae Won Lim Layug, 405 Lionel Way, Davenport, FL 33837-7811 Ph: (863) 353-1390 |
Briana Brown, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531 | |
Kelly Marie Lafond, RN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Webb Drive, Suite 300, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021 | |
Obinna Nwulu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3063 Serendipity Way, Davenport, FL 33896 Phone: 407-556-5762 | |
Ophelia Dacosta-green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2217 North Blvd W, Davenport, FL 33837 Phone: 863-421-3456 Fax: 863-421-3466 | |
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688 | |
Alysha N Petroff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40215 Highway 27, Davenport, FL 33837 Phone: 863-421-9705 Fax: 863-421-9779 | |
Mrs. Chrisja Marie Ramos, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1085 Mountain Flower Ln, Davenport, FL 33837 Phone: 407-757-9966 |